Sebastian T Thundathil, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW5604 Issued in FL

Practice address

4777 NW 96TH Dr
Coral Springs, FL 33076-2449

Phone

(954) 295-8333

NPI assigned

Aug 1, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Paradise Manor Retirement Home

  • Assisted Living Facility
  • Oakland Park, FL
  • NPI 1780005108
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1558378646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4777 NW 96TH DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330762449",
            "telephone_number": "954-295-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4777 NW 96TH DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330762449",
            "telephone_number": "954-295-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THUNDATHIL",
        "first_name": "SEBASTIAN",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW5604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Lynn Thompson, BA
• Sammy Thompson, LPN
• Tim E Thor, PT
• Jaicy Thottam
• Three Heart Beats Counseling Services LLC
• Tracey Jerona Thurston, APRN
• Jusette Espulgar Ticzon
• Tidwell's Orthotics, LLC
• Linda Marilyn Tiga Hernandez, LCSW
• Tikun Health Services, Inc

• Clinical Social Worker in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.